Maintaining the accuracy of a computer practice register: household index

Difford, F; Hook, P M; Sledge, M

doi:10.1136/bmj.290.6467.519

Cited by 3 publications

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“…3 Disease registers are an indispensable component of practice management. [4][5][6][7][8] However, increasingly these are becoming virtual registries (i.e. embedded within EPRs).…”

Section: Introductionmentioning

confidence: 99%

Identifying the optimal search strategy for coronary heart disease patients in primary care electronic patient record systems

Thiru

Donnan²,

Weller

et al. 2009

Journal of Innovation in Health Informatics

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“…3 Disease registers are an indispensable component of practice management. [4][5][6][7][8] However, increasingly these are becoming virtual registries (i.e. embedded within EPRs).…”

Section: Introductionmentioning

confidence: 99%

Identifying the optimal search strategy for coronary heart disease patients in primary care electronic patient record systems

Thiru

Donnan²,

Weller

et al. 2009

Journal of Innovation in Health Informatics

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Continuous opportunistic and systematic screening for hypertension with computer help: analysis of non-responders.

Difford¹,

Telling²,

Davies³

et al. 1987

BMJ

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For two years an office computer was used to identify patients to prompt for opportunistic screening and call for systematic screening. After the two years 92% of patients on the list had had blood pressure readings recorded within the previous five years, of which 34% resulted from special prompts and 22% from screening letters. Those who failed to respond to letters were sent questionnaires, and their records were compared with those of screened patients.With the help of a microcomputer it is practicable to sustain a continuous screening rate of between 90% and 95%.Introduction At least 7% of the population aged between 35 and 65 would benefit from a reduced blood pressure.' In 1970 Hart showed that these patients could be identified,2 and since then case finding for hypertension has been accepted in principle by most general practitioners. Audits have shown that even in well motivated practices fewer than 65% of patients have been screened in the past

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Falls, Depression and Antidepressants in Later Life: A Large Primary Care Appraisal

et al. 2008

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BackgroundDepression and falls are common and co-exist for older people. Safe management of each of these conditions is important to quality of life.MethodsA cross-sectional survey was used to examine medication use associated with injurious and non-injurious falls in 21,900 community-dwelling adults, aged 60 years or over from 383 Australian general practices recruited for the DEPS-GP Project. Falls and injury from falls, medication use, depressive symptoms (Primary Health Questionnaire (PHQ-9)), clinical morbidity, suicidal ideation and intent, health status (SF-12 Health Survey), demographic and lifestyle information was reported in a standardised survey.FindingsRespondents were 71.8 years (sd 7.7) of age and 58.4% were women. 24% 11% and 8% reported falls, fall related injury, and sought medical attention respectively. Antidepressant use (odds ratio, OR: 1.46; 95% confidence interval, 95%CI: 1.25, 1.70), questionable depression (5–14 on PHQ OR: 1.32, 95%CI: 1.13, 1.53) and clinically significant symptoms of depression (15 or more on PHQ OR: 1.70, 95%CI: 1.14, 1.50) were independently associated with multiple falls. SSRI use was associated with the highest risk of multiple falls (OR: 1.66, 95%CI: 1.36, 2.02) amongst all psychotropic medications. Similar associations were observed for injurious falls. Over 60% of those with four accumulated risk factors had multiple falls in the previous year (OR: 3.40, 95%CI: 1.79, 6.45); adjusted for other demographic and health factors.InterpretationAntidepressant use (particularly SSRIs) was strongly associated with falls regardless of presence of depressive symptoms. Strategies to prevent falls should become a routine part of the management of older people with depression.

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Maintaining the accuracy of a computer practice register: household index

Cited by 3 publications

References 0 publications

Identifying the optimal search strategy for coronary heart disease patients in primary care electronic patient record systems

Identifying the optimal search strategy for coronary heart disease patients in primary care electronic patient record systems

Continuous opportunistic and systematic screening for hypertension with computer help: analysis of non-responders.

Falls, Depression and Antidepressants in Later Life: A Large Primary Care Appraisal

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